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My Lords, does the Minister agree that compelling public information is key? Does he recall that the last time we talked about the sugar tax I recommended that manufacturers of sugary products should label them showing how much exercise would be required to burn off the contents? Is he aware that that is exactly what the Drinkaware website does? Would it not deter noble Lords, when considering ordering a glass of wine in the Bishops’ Bar, if they knew that they would have to run up and down Whitehall for 16 minutes in order to burn it off?
My Lords, does the Minister agree that compelling public information is key? Does he recall that the last time we talked about the sugar tax I recommended that manufacturers of sugary products should label them showing how much exercise would be required to burn off the contents? Is he aware that that is exactly what the Drinkaware website does? Would it not deter noble Lords, when considering ordering a glass of wine in the Bishops’ Bar, if they knew that they would have to run up and down Whitehall for 16 minutes in order to burn it off?
I am sure we will all be following in the noble Baroness’s wake when we do that. It is worth making the point that one of the benefits that came out of the responsibility deal, which I know not everyone in this House thinks was successful, is that the labelling on alcoholic products has got much better.
Does the Minister agree that we are putting processes before payments? Is she aware of cases such as that of the lady from Bradford who is receiving both health and social care support at home for ulcerated legs? The worse leg was being treated by the district nurse; the better leg was put into support tights by her care worker, who was later dismissed because of the cuts. The nurse was not allowed to help with the better leg until it deteriorated to the point where she was permitted to dress that one too. One leg was NHS and the other was social care. Is that what the Government mean by integration?
Does the Minister agree that we are putting processes before payments? Is she aware of cases such as that of the lady from Bradford who is receiving both health and social care support at home for ulcerated legs? The worse leg was being treated by the district nurse; the better leg was put into support tights by her care worker, who was later dismissed because of the cuts. The nurse was not allowed to help with the better leg until it deteriorated to the point where she was permitted to dress that one too. One leg was NHS and the other was social care. Is that what the Government mean by integration?
Clearly not—that is not acceptable behaviour. Local authorities have an absolute duty to make sure that providers provide proper care for the people they are looking after, and there are strict regulations in place which are carried out by CQCs to make sure that that happens. If it does not, it is important for people to complain to the local authorities to make sure that proper care is given.
My Lords, if there are budgetary constraints, surely those victims who were infected by state action should have priority. Is the Minister aware that there are many Welsh patients who were infected with contaminated blood in English hospitals and are now being used in a game of pass the parcel between the UK Government and the Welsh Government? Can he say what was agreed at the meeting on 24 March between his officials and officials of the Welsh Government? Patients in Wales have not been able to get an answer from the acting Chief Medical Officer of the Welsh Government on this. Perhaps he could write to me.
My Lords, if there are budgetary constraints, surely those victims who were infected by state action should have priority. Is the Minister aware that there are many Welsh patients who were infected with contaminated blood in English hospitals and are now being used in a game of pass the parcel between the UK Government and the Welsh Government? Can he say what was agreed at the meeting on 24 March between his officials and officials of the Welsh Government? Patients in Wales have not been able to get an answer from the acting Chief Medical Officer of the Welsh Government on this. Perhaps he could write to me.
My Lords, this new drug for hepatitis C is made available on the basis of clinical need, not the route of infection. There is a consultation going on about whether a special fund might be established for those who have received infected blood. I cannot answer specifically on the issue of the Welsh people but I will write to the noble Baroness on that matter.
My Lords, what precisely is it that somebody with a private sector background could bring to this organisation that somebody without a public or voluntary sector background would not bring? Should not the criteria be much more about understanding how best to undertake public engagement and an ability to shape services that reflect public priorities and concerns? Does this Question not raise a more general one about the politicisation of public appointments?
My Lords, what precisely is it that somebody with a private sector background could bring to this organisation that somebody without a public or voluntary sector background would not bring? Should not the criteria be much more about understanding how best to undertake public engagement and an ability to shape services that reflect public priorities and concerns? Does this Question not raise a more general one about the politicisation of public appointments?
I disagree. I had a private sector background when I became chairman of the CQC, I might add, so perhaps I am slightly biased in this regard. Having a mix of people from all different backgrounds, whether private, public or voluntary sector, is a very good thing.
My Lords, does the PSHE curriculum include comparisons of the health harms of drugs such as alcohol, tobacco, heroin, cocaine and cannabis, including the numbers of people who die every year from their use? If the Minister does not have the figures to hand, I would be grateful if he wrote to me.
My Lords, does the PSHE curriculum include comparisons of the health harms of drugs such as alcohol, tobacco, heroin, cocaine and cannabis, including the numbers of people who die every year from their use? If the Minister does not have the figures to hand, I would be grateful if he wrote to me.
My understanding is that this programme of study is very comprehensive, but I will write specifically to the noble Baroness on this.
To ask Her Majesty’s Government how many organ donors are registered in each local authority and Parliamentary constituency.
To ask Her Majesty’s Government how many organ donors are registered in each local authority and Parliamentary constituency.
Providing the complete information on the number of people who have joined the NHS Organ Donor Register by local authority and Parliamentary constituency in the main body of this reply would exceed the word limit for responses to written parliamentary questions. The information is therefore in the attached table.
To ask Her Majesty’s Government whether they have assessed the amount of infection brought into hospitals by staff uniforms worn outside.
To ask Her Majesty’s Government whether they have assessed the amount of infection brought into hospitals by staff uniforms worn outside.
The Department first published Uniforms and Work wear: An evidence base for developing local policy in 2007, with an update to this guidance published in March 2010. A copy of this document is attached.
The guidance was informed by two extensive literature reviews conducted by Thames Valley University and by practical research on washing uniform fabrics carried out at University College Hospital. Whilst there is a theoretical risk, this work supported the conclusion that there was no evidence that uniforms and workwear played a direct role in spreading infection.
Nonetheless, the clothes that staff wear should facilitate good practice and minimise any risk to patients. Public attitudes and perceptions indicate that it is good practice for staff either to change at work or to cover their uniforms as they travel to and from work. Changing into and out of uniforms at work is included as a good practice example in the guidance.
My Lords, although these products are clearly much less harmful than smoking tobacco, they are not entirely harmless. They have a
lot of noxious chemicals in them. What are the Government doing to inform people about the research on the potential hazards of these products, including the reduction in resistance to infections, reduction in fertility and changes in behaviour patterns?
My Lords, although these products are clearly much less harmful than smoking tobacco, they are not entirely harmless. They have a
lot of noxious chemicals in them. What are the Government doing to inform people about the research on the potential hazards of these products, including the reduction in resistance to infections, reduction in fertility and changes in behaviour patterns?
My Lords, as I said, these new products are not perfect but are substantially better than smoking cigarettes. One of the purposes of the new directive is that there should be proper labelling on the products.
To ask Her Majesty’s Government when they plan to make the Meningitis B vaccine available on the NHS to children born before 1 May 2015.
To ask Her Majesty’s Government when they plan to make the Meningitis B vaccine available on the NHS to children born before 1 May 2015.
The Joint Committee on Vaccination and Immunisation (JCVI), the independent expert body that advises ministers on immunisation matters, recommended a meningococcal B (MenB) immunisation programme that will protect infants because they are at highest risk, with the peak incidence of MenB being in infants at about five months of age. The MenB vaccine is offered to babies at two months of age, with further doses offered when they reach four and 12 months of age.
The JCVI keeps the eligibility criteria of all vaccination programmes under review and considers new evidence as it becomes available. If the JCVI provides further advice about the programme, we will consider this.
I thank the Minister for his reply. Has he made any assessment of the value of the services provided by pharmacies to the NHS, local communities and local authorities in assisting with their public health responsibilities? In light of the importance of all these services and the potential for expansion in future, is it not rather arbitrary of the Government to make these cuts that I understand could cause the closure of 3,000 pharmacies? Then they will sit back and wait for the survival of the economic fittest.
I thank the Minister for his reply. Has he made any assessment of the value of the services provided by pharmacies to the NHS, local communities and local authorities in assisting with their public health responsibilities? In light of the importance of all these services and the potential for expansion in future, is it not rather arbitrary of the Government to make these cuts that I understand could cause the closure of 3,000 pharmacies? Then they will sit back and wait for the survival of the economic fittest.
My Lords, it is important that we recognise the fundamental changes happening in the market that community pharmacies operate in. With the growth of online ordering of prescriptions, the large-scale automation of dispensing and the integration of health services within which community pharmacies are absolutely vital, the industry will have to change.
To ask Her Majesty’s Government what steps they will take to ensure that every community continues to be served by a local pharmacy, in the light of their plans to cut funding to pharmacies in October.
To ask Her Majesty’s Government what steps they will take to ensure that every community continues to be served by a local pharmacy, in the light of their plans to cut funding to pharmacies in October.
My Lords, community pharmacies are a vital part of the NHS. The Government believe efficiencies can be made without compromising the quality of services or public access to them. Our aim is to ensure that community pharmacies upon which people depend continue to thrive. We are consulting on a pharmacy access scheme which will provide more NHS funds to certain pharmacies compared to others, considering factors such as location and the health needs of the local population.
My Lords, what is being done to ensure fair career progression further down the ladder? Unless we get people moving up, we will never have BME medical directors. Further, is he prepared to comment on diversity among the personnel in the recruitment agencies themselves that work for the NHS?
My Lords, what is being done to ensure fair career progression further down the ladder? Unless we get people moving up, we will never have BME medical directors. Further, is he prepared to comment on diversity among the personnel in the recruitment agencies themselves that work for the NHS?
My Lords, the noble Baroness makes a good point. In a way the WRES focuses very much on the more senior grades in the NHS, but we need to focus on progression from band 4 into 5 and 6 as well. It is an important point that needs to be taken on board. As far as recruitment is concerned, it is very important that we have people from BME backgrounds on the recruitment panels. Getting the
right people is crucial, and if that means going to external recruitment agencies when we have to, we should not rule that out.
To ask Her Majesty’s Government what assurances the Department of Health has received that neurology services will not be disadvantaged in comparison to other condition areas by the absence of national clinical leadership for neurology services, in the light of NHS England’s decision not to renew the role of National...
To ask Her Majesty’s Government what assurances the Department of Health has received that neurology services will not be disadvantaged in comparison to other condition areas by the absence of national clinical leadership for neurology services, in the light of NHS England’s decision not to renew the role of National...
Sir Bruce Keogh, NHS England’s Medical Director, has undertaken a review of the National Clinical Director (NCD) resource designed to focus clinical advisory resources on areas where major programmes of work are currently being taking forward, or areas identified as priorities for improvement. As a result of the review, NHS England has proposed to change the way in which clinical advice is received in speciality areas in the future.
Where there will no longer be a specific NCD role, NHS England will secure expert clinical advice from its Clinical Networks and through its relationships with professional bodies and by appointing clinical advisors. For neurology it is planned that access to advice will be through clinical leads and members of the NHS England-funded neurology clinical networks, the Neurology Clinical Reference Group and Royal Colleges. It is expected that these new arrangements will be in place from 1 April 2016.
The Neurology Intelligence Network (NIN) is a joint partnership programme between Public Health England (PHE) and NHS England to support the generation and dissemination of neurology related health intelligence. PHE currently funds the on-going design, development and management of the NIN.
My Lords, does the Minister endorse the principle of Kirsty Williams’s Private Member’s Bill in the Welsh Assembly, the Safe Nurse Staffing Levels (Wales) Bill, which, having passed with all-party support, now ensures safe staffing levels in all wards in Wales? Will the UK Government follow the example of the Liberal Democrats in Wales?
My Lords, does the Minister endorse the principle of Kirsty Williams’s Private Member’s Bill in the Welsh Assembly, the Safe Nurse Staffing Levels (Wales) Bill, which, having passed with all-party support, now ensures safe staffing levels in all wards in Wales? Will the UK Government follow the example of the Liberal Democrats in Wales?
My Lords, I can perhaps be excused for not following all that carefully Private Members’ Bills in the Welsh Assembly promoted by
the Liberal Democrats. Safe staffing is obviously very important. I quote Mike Richards on this, who says that it is,
“important to look at staffing in a flexible way which is focused on the quality of care, patient safety and efficiency rather than just numbers and ratios of staff”.
That is extremely important.
To ask Her Majesty’s Government when they will inform local authorities how much their public health budgets will be in 2016–17 and 2017–18, and why that information has not yet been provided.
To ask Her Majesty’s Government when they will inform local authorities how much their public health budgets will be in 2016–17 and 2017–18, and why that information has not yet been provided.
Local authorities’ public health allocations for 2016-17 and indicative allocations for 2017-18 were published on 11 February 2016. Allocations are set out in the attached document.
The Government are undermining free school meals for up to key stage 1, which was a Liberal Democrat achievement in the coalition Government, by starving the programme of cash. Why are the Government going to remove the grants to small primary schools that enable them to deliver these hot meals to children? How will that help nutrition for those children for whom this is the only decent, nutritional meal they get in the whole day?
The Government are undermining free school meals for up to key stage 1, which was a Liberal Democrat achievement in the coalition Government, by starving the programme of cash. Why are the Government going to remove the grants to small primary schools that enable them to deliver these hot meals to children? How will that help nutrition for those children for whom this is the only decent, nutritional meal they get in the whole day?
My Lords, the noble Baroness is quite right that we have paid an extra £33 million to small schools to enable them to engage in this programme. It was always intended as transitional funding to help schools put their service on a sustainable footing and we believe that that has been done.
My Lords, how will the Government achieve their objectives in relation to modernised cancer treatment and an enhanced role for radiographers when Health Education England is cutting the number of training places for therapeutic radiographers by 4.3%?
My Lords, how will the Government achieve their objectives in relation to modernised cancer treatment and an enhanced role for radiographers when Health Education England is cutting the number of training places for therapeutic radiographers by 4.3%?
Actually, I think the number of radiographers is going up slightly. I will check, if I can, and write to the noble Baroness. It is also worth mentioning that the number of medical endoscopists is planned to go up by 200 over the next three years.
My Lords, does the Minister agree that the key to weight management is correcting energy imbalance? Will the Government therefore consider forcing manufacturers of junk foods to put on their labels the number of hours of vigorous exercise that are equivalent to the contents of the packet?
My Lords, does the Minister agree that the key to weight management is correcting energy imbalance? Will the Government therefore consider forcing manufacturers of junk foods to put on their labels the number of hours of vigorous exercise that are equivalent to the contents of the packet?
My Lords, as the noble Baroness will know, there are plans for later this year to have compulsory labelling of sugar content on packaging. However, I am not aware that there are any plans to have pictures of well-known athletes on the packaging as well.
My Lords, given that hospital trusts are recruiting 5,600 nurses from outside the EU every year, that is surely much more of a pull factor than anything the Government might do with benefits. Given the fact that trainee nurses have to work on a clinical placement outside term time in which they add value to the NHS and take on responsibility, why are they not paid?
My Lords, given that hospital trusts are recruiting 5,600 nurses from outside the EU every year, that is surely much more of a pull factor than anything the Government might do with benefits. Given the fact that trainee nurses have to work on a clinical placement outside term time in which they add value to the NHS and take on responsibility, why are they not paid?
My Lords, I do not entirely follow the noble Baroness’s question. All I can say is that we are all pleased that we are able to attract nurses from overseas, but that cannot be the right long-term policy for this country. We must train our own nurses and not rely upon recruiting nurses from overseas.
My Lords, given that many of the survivors of Primodos, the drug in question here, were not told that they were taking part in a clinical trial, will the noble Lord assure us that today nobody would take part in a clinical trial without their knowledge?
My Lords, given that many of the survivors of Primodos, the drug in question here, were not told that they were taking part in a clinical trial, will the noble Lord assure us that today nobody would take part in a clinical trial without their knowledge?
My Lords, I understand that to be the case but I will double-check and, if it is not, I will of course write to the noble Baroness.